49.001(5m) (5m) "Prisoner" means any person who is either arrested, incarcerated, imprisoned or otherwise detained in excess of 12 hours by any law enforcement agency of this state, except when detention is pursuant to s. 51.15, 51.20, 51.45 (11) (b) or, 55.13, or 55.135 or ch. 980. "Prisoner" does not include any person who is serving a sentence of detention under s. 973.03 (4) unless the person is in the county jail under s. 973.03 (4) (c).
49.001(5p) (5p) "Relief block grant" means a block grant awarded to a county or tribal governing body under s. 49.025, 49.027 or 49.029.
Effective date note NOTE: Sub. (5p) is amended eff. 7-1-11 by 2009 Wis. Act 28 to read:
Effective date text (5p) "Relief block grant" means a block grant awarded to a county or tribal governing body under s. 49.025, 2009 stats., s. 49.027, 2009 stats., or s. 49.029.
49.001(6) (6) "Residence" means the voluntary concurrence of physical presence with intent to remain in a place of fixed habitation. Physical presence is prima facie evidence of intent to remain.
49.001(7) (7) "Treatment foster home" has the meaning given in s. 48.02 (17q).
Effective date note NOTE: Sub. (7) is repealed by 2009 Wis. Act 28 eff. the date stated in the notice provided by the secretary of children and families and published in the Wisconsin Administrative Register under s. 48.62 (9).
49.001(8) (8) "Voluntary" means according to an individual's free choice, if competent, or by choice of his or her guardian if the individual is adjudicated incompetent.
49.001(9) (9) "Wisconsin Works agency" means a person under contract under s. 49.143 to administer Wisconsin Works under ss. 49.141 to 49.161. If no contract is awarded under s. 49.143, "Wisconsin Works agency" means the department of children and families.
subch. II of ch. 49 SUBCHAPTER II
RELIEF BLOCK GRANTS
49.002 49.002 Legislative declaration. It is the declared legislative policy that a county receiving a relief block grant is the payer of last resort in all cases, except those cases involving crime victim awards under s. 949.06, where a benefit is covered by relief funded by a relief block grant in a county and where a dispute may arise over payment for costs associated with providing health care services to recipients of relief funded by a relief block grant.
Effective date note NOTE: This section is repealed eff. 7-1-11 by 2009 Wis. Act 28.
49.01 49.01 Definitions. As used in this subchapter:
49.01(1g) (1g) "American Indian" means a person who is recognized by an elected tribal governing body in this state as a member of a federally recognized Wisconsin tribe or band of Indians.
49.01(1m) (1m) "Department" means the department of health services.
49.01(2) (2) "Dependent person" means an individual who is eligible for relief under s. 49.015.
49.01(2g) (2g) "Health care services" means such emergency and nonemergency medical, surgical, dental, hospital, nursing and optometric services as are reasonable and necessary under the circumstances, as determined by the county or tribal governing body. "Health care services" does not include services described under s. 51.42 (3) (ar) 4.
49.01(3) (3) "Relief" means assistance that is provided to a dependent person and funded by a relief block grant.
49.01(3m) (3m) "Relief agency" means the following if a county or tribal governing body operates a relief program funded by a relief block grant:
49.01(3m)(a) (a) A county department under s. 46.215, 46.22 or 46.23 or an agency under contract with a county department to administer relief.
49.01(3m)(b) (b) A tribal governing body or an agency under contract with the governing body to administer relief.
Effective date note NOTE: Sub. (3m) is repealed and recreated eff. 7-1-11 by 2009 Wis. Act 28 to read:
Effective date text (3m) "Relief agency" means a tribal governing body or an agency under contract with a tribal governing body to administer relief if the tribal governing body operates a relief program funded by a relief block grant.
49.01(8j) (8j) "Secretary" means the secretary of health services.
Effective date note NOTE: Sub. (8j) is repealed eff. 7-1-11 by 2009 Wis. Act 28.
49.01(8L) (8L) "Tax-free land" means land in this state within the boundaries of a federally recognized reservation or within the bureau of Indian affairs service area for the Winnebago tribe, which is not subject to assessment or levy of a real property tax either as a general tax or as a payment in lieu of taxes.
49.01(8p) (8p) "Tribal governing body" means an elected tribal governing body of a federally recognized American Indian tribe.
49.015 49.015 Relief eligibility.
49.015(1)(1)General eligibility requirements. Except as provided in subs. (1m) to (2m), an individual is eligible for relief if the individual meets all of the following conditions:
49.015(1)(a) (a) Except as provided in sub. (3) (a), the individual resides in a county, or on tax-free land, in which the county or tribal governing body operates a program funded by a relief block grant.
Effective date note NOTE: Par. (a) is amended eff. 7-1-11 by 2009 Wis. Act 28 to read:
Effective date text (a) Except as provided in sub. (3) (a), the individual resides on tax-free land on which the tribal governing body operates a program funded by a relief block grant.
49.015(1)(am) (am) The individual authorizes any program or resource for which he or she is determined to be eligible to reimburse the relief agency for health care services provided to the individual if the program or resource permits reimbursement for the services provided.
49.015(1)(c) (c) The individual qualifies under written criteria of dependency under s. 49.02 (1) (b) established by the relief agency in that county or on that tax-free land.
Effective date note NOTE: Par. (c) is amended eff. 7-1-11 by 2009 Wis. Act 28 to read:
Effective date text (c) The individual qualifies under written criteria of dependency under s. 49.02 (1) (b) established by the relief agency on that tax-free land.
49.015(1m) (1m)State residency requirements.
49.015(1m)(a)(a) In this subsection, "close relative" means the person's parent, grandparent, brother, sister, spouse or child.
49.015(1m)(b) (b) No individual is eligible for relief unless the individual has resided in this state for at least 60 consecutive days before applying for relief. This requirement does not apply if the individual resides in this state and meets any of the following conditions:
49.015(1m)(b)1. 1. The individual was born in this state.
49.015(1m)(b)2. 2. The individual has, in the past, resided in this state for at least 365 consecutive days.
49.015(1m)(b)3. 3. The individual came to this state to join a close relative who has resided in this state for at least 180 days before the arrival of the individual.
49.015(1m)(b)4. 4. The individual came to this state to accept a bona fide offer of employment and the individual was eligible to accept the employment.
49.015(1m)(b)5. 5. The individual has infectious tuberculosis, as defined in s. 252.07 (1g) (a), or suspect tuberculosis, as defined in s. 252.07 (1g) (d).
49.015(2) (2)Recipients of other aid. Except as provided in sub. (3), an individual is not eligible for relief for a month in which the individual has received aid to families with dependent children under s. 49.19 or supplemental security income under 42 USC 1381 to 1383c or has participated in a Wisconsin works employment position under s. 49.147 (3) to (5) or in which aid to families with dependent children, supplemental security income benefits or a Wisconsin works employment position is immediately available to the individual.
49.015(2m) (2m)Ineligibility due to medical assistance divestment. Any person found ineligible for medical assistance because of the divestment provisions under s. 49.453 is ineligible for relief funded by a relief block grant for the same period during which ineligibility exists under s. 49.453.
49.015(3) (3)Waiver of certain eligibility requirements.
49.015(3)(a)(a) A relief agency may waive the requirement under sub. (1) (a) for an individual receiving health care services from a trauma center that meets the criteria established by the American College of Surgeons for classification as a Level I trauma center. If the county waives the requirement under sub. (1) (a) for an individual, the county may seek reimbursement from the individual's county of residence if that county operates a program funded by a relief block grant.
Effective date note NOTE: Par. (a) is amended eff. 7-1-11 by 2009 Wis. Act 28 to read:
Effective date text (a) A relief agency may waive the requirement under sub. (1) (a) for an individual receiving health care services from a trauma center that meets the criteria established by the American College of Surgeons for classification as a Level I trauma center.
49.015(3)(b) (b) A relief agency may waive the requirement under sub. (2) or (2m) in case of unusual misfortune or hardship. Each waiver shall be reported to the department. The department may make a determination as to the appropriateness of the waiver under rules promulgated by the department under s. 49.02 (7m) (d).
49.015 Annotation States may deny benefits to those who fail to prove they did not quit job in order to obtain benefits. Lavine v. Milne, 424 U.S. 577 (1976).
49.015 Annotation Constitutional law: residency requirements. 53 MLR 439.
49.02 49.02 Relief block grant administration.
49.02(1) (1)Eligibility for relief block grants. A county or tribal governing body is eligible to receive a relief block grant if all of the following conditions are met:
49.02(1)(a) (a) The county board or tribal governing body adopts a resolution applying for a relief block grant.
49.02(1)(b) (b) The county or tribal governing body establishes written criteria to be used to determine dependency and reviews these written criteria at least annually.
49.02(1)(c) (c) The county or tribal governing body submits to the department a plan for the provision of services to be funded by the relief block grant. The plan shall include all of the following:
49.02(1)(c)1. 1. How the county or tribal governing body will determine eligibility and how these eligibility determinations may be appealed. The procedures for determining eligibility and for notice, fair hearing and review shall be consistent with rules promulgated by the department under sub. (7m).
49.02(1)(c)2. 2. How the county or tribal governing body will determine which health care services are needed by a dependent person.
49.02(1)(c)3. 3. The cost containment mechanisms that will be used, including what limitations will be placed on the inappropriate use of emergency room care and what limitations will be placed on payments to providers contracted for under sub. (2).
49.02(1)(c)4. 4. In the case of a county submitting a plan for a relief block grant under s. 49.027, whether the county will provide services other than health care services and, if such services are offered, how the county will determine what services will be provided to a dependent person.
49.02(1)(d) (d) The department has approved the plan under par. (c). The department shall approve or disapprove the plan within a reasonable period of time after the plan is submitted.
Effective date note NOTE: Sub. (1) is affected eff. 7-1-11 by 2009 Wis. Act 28 to read:
Effective date text (1) Eligibility for relief block grants. A tribal governing body is eligible to receive a relief block grant if all of the following conditions are met:
Effective date text (a) The tribal governing body adopts a resolution applying for a relief block grant.
Effective date text (b) The tribal governing body establishes written criteria to be used to determine dependency and reviews these written criteria at least annually.
Effective date text (c) The tribal governing body submits to the department a plan for the provision of services to be funded by the relief block grant. The plan shall include all of the following:
Effective date text 1. How the tribal governing body will determine eligibility and how these eligibility determinations may be appealed. The procedures for determining eligibility and for notice, fair hearing, and review shall be consistent with rules promulgated by the department under sub. (7m).
Effective date text 2. How the tribal governing body will determine which health care services are needed by a dependent person.
Effective date text 3. The cost containment mechanisms that will be used, including what limitations will be placed on the inappropriate use of emergency room care and what limitations will be placed on payments to providers contracted for under sub. (2).
Effective date text (d) The department has approved the plan under par. (c). The department shall approve or disapprove the plan within a reasonable period of time after the plan is submitted.
49.02(1e) (1e)Relief agencies. If a county or tribal governing agency is eligible to receive a relief block grant, the county or tribal governing body shall establish or designate a relief agency to administer relief under this section.
Effective date note NOTE: Sub. (1e) is amended eff. 7-1-11 by 2009 Wis. Act 28 to read:
Effective date text (1e) Relief agencies. If a tribal governing body is eligible to receive a relief block grant, the tribal governing body shall establish or designate a relief agency to administer relief under this section.
49.02(2) (2)Contracting with private health care providers. A relief agency may use a relief block grant to provide health care services directly or, if the conditions in this subsection are met, by contracting with private health care providers, or by a combination of contracting with private health care providers and providing services directly. A relief agency may contract with a private health care provider to provide health care services under this subsection only if all of the following conditions are met:
49.02(2)(a) (a) The relief agency enters into a contract with the private health care provider to provide specified health care services.
49.02(2)(b) (b) The contract between the relief agency and the private health care provider provides that all records of the health care provider relating to the administration and provision of the health care services shall be open to inspection at all reasonable hours by authorized representatives of the county and the department.
Effective date note NOTE: Par. (b) is amended eff. 7-1-11 by 2009 Wis. Act 28 to read:
Effective date text (b) The contract between the relief agency and the private health care provider provides that all records of the health care provider relating to the administration and provision of the health care services shall be open to inspection at all reasonable hours by authorized representatives of the tribal governing body and the department.
49.02(2)(d) (d) The contract limits payment for services under the contract to the amount payable by medical assistance for care for which a medical assistance rate exists.
49.02(2)(e) (e) The contract does not provide for payment for hospitalization or care provided as uncompensated services required under 42 USC 291c.
49.02(2)(f) (f) The contract prohibits the health care provider from holding an individual recipient of health care services funded under this section liable for the difference between the costs of the health care services and the amount paid to the health care provider by the county for the services.
Effective date note NOTE: Par. (f) is amended eff. 7-1-11 by 2009 Wis. Act 28 to read:
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